STEVEN PARK KIM D.P.M. NPI 1306877006

NPI Information

  • NPI: 1306877006
  • Provider Name: STEVEN PARK KIM, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4761 HOEN AVE
    SANTA ROSA, CA
    ZIP 95405
  • Phone: (707) 545-0570

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NPI Details

Steven Park Kim, D.P.M. is a foot and ankle surgery podiatrist in Santa Rosa, CA with 25 years of experience. Steven Park Kim, D.P.M. NPI is 1306877006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2001

The provider's business location address is:

4761 HOEN AVE
SANTA ROSA, CA
ZIP 95405-862
Phone: (707) 545-0570
Fax: (707) 545-0575

The NPI 1306877006 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm (HCPCS:11306)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Removal of noncancer thickened skin growth, more than 4 growths (HCPCS:11057)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Injection into tendon or ligament (HCPCS:20550)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)

The enumeration date for this NPI number is 7/5/2006 and was last updated on 4/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryE4506CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000E45060MEDICARE PINCALIFORNIA
2P01011615OTHERCALIFORNIARAILROAD MEDICARE
3FM916ZMEDICARE PINCALIFORNIA
4000E45060MEDICAIDCALIFORNIA
5P00336765MEDICARE PINCALIFORNIA
6U98086MEDICARE UPINCALIFORNIA
75234710001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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